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STOCKHOLDERS' EQUITY (Tables) | 3 Months Ended
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Mar. 31, 2023
Equity [Abstract] |
Schedule of Stockholders Equity | The following tables present the changes in stockholders’ equity (in millions):
| Three Months Ended March 31, 2023
| Common Stock |  | Additional Paid-In Capital |  | Retained Earnings |  | Accumulated Other Comprehensive Income (Loss) |  | Total Intuitive Surgical, Inc. Stockholders’ Equity |  | Noncontrolling Interest in Joint Venture |  | Total Stockholders’ Equity
| Shares |  | Amount |  |  |  |  |  |
Beginning balance | 350.0 |  |  | $ | 0.4 |  |  | $ | 7,703.9 |  |  | $ | 3,500.1 |  |  | $ | (162.5) |  |  | $ | 11,041.9 |  |  | $ | 70.7 |  |  | $ | 11,112.6 |
Issuance of common stock through employee stock plans | 2.4 |  |  | — |  |  | 100.2 |  |  | — |  |  | — |  |  | 100.2 |  |  | — |  |  | 100.2 |
Shares withheld related to net share settlement of equity awards | (0.5) |  |  | — |  |  | (5.9) |  |  | (123.8) |  |  | — |  |  | (129.7) |  |  | — |  |  | (129.7) |
Share-based compensation expense related to employee stock plans | — |  |  | — |  |  | 146.0 |  |  | — |  |  | — |  |  | 146.0 |  |  | — |  |  | 146.0 |
Repurchase and retirement of common stock | (1.5) |  |  | — |  |  | (15.8) |  |  | (334.2) |  |  | — |  |  | (350.0) |  |  | — |  |  | (350.0) |
Net income attributable to Intuitive Surgical, Inc. | — |  |  | — |  |  | — |  |  | 355.3 |  |  | — |  |  | 355.3 |  |  | — |  |  | 355.3 |
Other comprehensive income (loss) | — |  |  | — |  |  | — |  |  | — |  |  | 54.0 |  |  | 54.0 |  |  | 0.3 |  |  | 54.3 |
Net income attributable to noncontrolling interest in joint venture | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 5.5 |  |  | 5.5 |
Ending balance | 350.4 |  |  | $ | 0.4 |  |  | $ | 7,928.4 |  |  | $ | 3,397.4 |  |  | $ | (108.5) |  |  | $ | 11,217.7 |  |  | $ | 76.5 |  |  | $ | 11,294.2 |
| Three Months Ended March 31, 2022
| Common Stock |  | Additional Paid-In Capital |  | Retained Earnings |  | Accumulated Other Comprehensive Income (Loss) |  | Total Intuitive Surgical, Inc. Stockholders’ Equity |  | Noncontrolling Interest in Joint Venture |  | Total Stockholders’ Equity
| Shares |  | Amount |  |  |  |  |  |
Beginning balance | 357.7 |  |  | $ | 0.4 |  |  | $ | 7,164.0 |  |  | $ | 4,760.9 |  |  | $ | (24.2) |  |  | $ | 11,901.1 |  |  | $ | 50.4 |  |  | $ | 11,951.5 |
Issuance of common stock through employee stock plans | 2.2 |  |  | — |  |  | 80.0 |  |  | — |  |  | — |  |  | 80.0 |  |  | — |  |  | 80.0 |
Shares withheld related to net share settlement of equity awards | (0.6) |  |  | — |  |  | (6.1) |  |  | (166.1) |  |  | — |  |  | (172.2) |  |  | — |  |  | (172.2) |
Share-based compensation expense related to employee stock plans | — |  |  | — |  |  | 120.8 |  |  | — |  |  | — |  |  | 120.8 |  |  | — |  |  | 120.8 |
Repurchase and retirement of common stock | (0.4) |  |  | — |  |  | (4.1) |  |  | (102.4) |  |  | — |  |  | (106.5) |  |  | — |  |  | (106.5) |
Net income attributable to Intuitive Surgical, Inc. | — |  |  | — |  |  | — |  |  | 365.6 |  |  | — |  |  | 365.6 |  |  | — |  |  | 365.6 |
Other comprehensive income (loss) | — |  |  | — |  |  | — |  |  | — |  |  | (86.5) |  |  | (86.5) |  |  | 0.4 |  |  | (86.1) |
Net income attributable to noncontrolling interest in joint venture | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 3.8 |  |  | 3.8 |
Ending balance | 358.9 |  |  | $ | 0.4 |  |  | $ | 7,354.6 |  |  | $ | 4,858.0 |  |  | $ | (110.7) |  |  | $ | 12,102.3 |  |  | $ | 54.6 |  |  | $ | 12,156.9 |
Schedule of Share Repurchase Activities | The following table summarizes stock repurchase activities (in millions, except per share amounts):
| Three Months Ended March 31, |  |
| 2023 |  | 2022 |  |  |  |
Shares repurchased | 1.5 |  |  | 0.4 |  |  |  |  |
Average price per share | $ | 238.1 |  |  | $ | 268.0 |  |  |  |  |
Value of shares repurchased | $ | 350.0 |  |  | $ | 106.5 |  |  |  |  |
Components of Accumulated Other Comprehensive Income, Net of Tax | The components of accumulated other comprehensive loss, net of tax, attributable to Intuitive Surgical, Inc. are as follows (in millions):
| Three Months Ended March 31, 2023
| Gains (Losses) on Hedge Instruments |  | Unrealized Gains (Losses) on Available-for-Sale Securities |  | Foreign Currency Translation Gains (Losses) |  | Employee Benefit Plans |  | Total
Beginning balance | $ | (2.9) |  |  | $ | (154.2) |  |  | $ | (6.6) |  |  | $ | 1.2 |  |  | $ | (162.5) |
Other comprehensive income (loss) before reclassifications | 3.7 |  |  | 37.8 |  |  | 13.9 |  |  | — |  |  | 55.4 |
Amounts reclassified from accumulated other comprehensive income (loss) | (1.2) |  |  | (0.2) |  |  | — |  |  | — |  |  | (1.4) |
Net current-period other comprehensive income (loss) | 2.5 |  |  | 37.6 |  |  | 13.9 |  |  | — |  |  | 54.0 |
Ending balance | $ | (0.4) |  |  | $ | (116.6) |  |  | $ | 7.3 |  |  | $ | 1.2 |  |  | $ | (108.5) |
| Three Months Ended March 31, 2022
| Gains (Losses) on Hedge Instruments |  | Unrealized Gains (Losses) on Available-for-Sale Securities |  | Foreign Currency Translation Gains (Losses) |  | Employee Benefit Plans |  | Total
Beginning balance | $ | 4.5 |  |  | $ | (16.0) |  |  | $ | (7.9) |  |  | $ | (4.8) |  |  | $ | (24.2) |
Other comprehensive income (loss) before reclassifications | 3.7 |  |  | (90.8) |  |  | 3.1 |  |  | — |  |  | (84.0) |
Amounts reclassified from accumulated other comprehensive income (loss) | (2.7) |  |  | 0.1 |  |  | — |  |  | 0.1 |  |  | (2.5) |
Net current-period other comprehensive income (loss) | 1.0 |  |  | (90.7) |  |  | 3.1 |  |  | 0.1 |  |  | (86.5) |
Ending balance | $ | 5.5 |  |  | $ | (106.7) |  |  | $ | (4.8) |  |  | $ | (4.7) |  |  | $ | (110.7) |
Schedule of Amounts Recognized in Other Comprehensive Income (Loss) | The tax impacts for amounts recognized in other comprehensive income (loss) before reclassifications were as follows (in millions):
| Three Months Ended March 31, |  |
Available-for-sale securities | 2023 |  | 2022 |  |  |  |
Income tax benefit (expense) for net gains (losses) recorded in other comprehensive income (loss) | $ | (10.9) |  |  | $ | 29.7 |  |  |  |  |

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